Provider Demographics
NPI:1740752153
Name:SLEPOY, TOVA (OTR/L)
Entity Type:Individual
Prefix:
First Name:TOVA
Middle Name:
Last Name:SLEPOY
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14142 70TH RD
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11367-1937
Mailing Address - Country:US
Mailing Address - Phone:732-429-2343
Mailing Address - Fax:
Practice Address - Street 1:7102 113TH ST
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11375-4654
Practice Address - Country:US
Practice Address - Phone:718-268-2667
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-12-24
Last Update Date:2018-12-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYYV35983FMedicaid